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ZACHARY KENNETH CREITZ
NPI 1619638731
Student in an Organized Health Care Education/Training Program in Lebanon, OR

Active since January 02, 2022PECOS Enrolled
200 MULLINS DR, LEBANON, OR 97355(541) 259-0235 Get Directions Write a Review

NPPES record last updated: January 2, 2022. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Zachary Kenneth Creitz NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ZACHARY KENNETH CREITZ (NPI 1619638731) is an individual student in an organized health care education/training program in Lebanon, Oregon and active in the NPI registry since January 2022. He is enrolled in Medicare PECOS and is a graduate of Other (2024).

NPPES Registry Identity

NPI1619638731
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameZACHARY KENNETH CREITZ
Location Address200 MULLINS DRLebanon, OR 97355-3983
Mailing Address200 Mullins DrLebanon, OR 97355-3983 · (541) 259-0235
Phone(541) 259-0235
Sole ProprietorYes
Medical School CMSOtherGraduated 2024
Enumeration DateJanuary 2, 2022
NPPES CertifiedJanuary 2, 2022
✔ NPI 1619638731 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
200 MULLINS DR, Lebanon, OR 97355
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Zachary Kenneth Creitz is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID2860951043
PECOS Enrollment IDI20260827004093
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignment

Medicare enrollment records show Zachary Creitz reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Cep America-California
203 mi
Emergency Medicine
800 E WASHINGTON BLVD
Crescent City, CA 95531
  • Reassigned Medicare billing, California enrollment
  • 2,323 clinicians in this Medicare group
NPI 1366124364 (707) 464-8511

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

JALINA MUELLER
General Practice
200 MULLINS DR
LEBANON, OR 97355
Linn County (541) 908-4101
SAISWATHI PATEL
Psychiatry & Neurology (Psychiatry)
200 MULLINS DR
LEBANON, OR 97355
Linn County (541) 259-0235
HEATHER CHRISTIANSON
Family Medicine
200 MULLINS DR
LEBANON, OR 97355
Linn County (541) 259-0200
HALEY E SANCHEZ
Internal Medicine
200 MULLINS DR
LEBANON, OR 97355
Linn County (541) 259-0235
JESSICA WALLACE
Student in an Organized Health Care Education/Training Program
200 MULLINS DR
LEBANON, OR 97355
Linn County (541) 259-0235
KAYLA TRENTER
Student in an Organized Health Care Education/Training Program
200 MULLINS DR
LEBANON, OR 97355
Linn County (541) 259-0235
NGHIA LE
Student in an Organized Health Care Education/Training Program
200 MULLINS DR
LEBANON, OR 97355
Linn County (541) 259-0235
JOCELYN POWELL
Student in an Organized Health Care Education/Training Program
200 MULLINS DR
LEBANON, OR 97355
Linn County (541) 207-8321

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Zachary Creitz's NPI number?

The NPI number for Zachary Creitz is 1619638731. It was assigned to this individual provider in the NPPES registry on January 2, 2022.

Where is Zachary Creitz located?

Zachary Creitz practices at 200 Mullins Dr, Lebanon, OR 97355. The listed phone number is (541) 259-0235.

What is Zachary Creitz's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Zachary Creitz enrolled in Medicare?

Yes. Zachary Creitz is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Zachary Creitz's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Zachary Creitz reassigns Medicare benefits to Cep America-California (Crescent City, CA). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Zachary Creitz's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Zachary Creitz was last updated on January 2, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.